A colonic lipoma presenting as intussusception in an elderly patient.

Colonic lipomas are uncommon benign tumors that are usually asymptomatic but may occasionally lead to complications such as intussusception. In adults, colocolic intussusception is rare and typically associated with a structural lead point, often malignant. We report the case of a 74-year-old woman who presented with acute bowel obstruction and was found to have colocolic intussusception secondary to a colonic lipoma. Diagnosis was established through imaging, and surgical resection was performed without prior reduction. The patient recovered uneventfully. This case highlights the diagnostic challenges posed by adult intussusception and emphasizes the key role of CT imaging in identifying the underlying cause and guiding appropriate management. Early recognition and timely surgical intervention are crucial for favorable outcomes.